Apply – Darlington Harriers & AC

Membership Application

If you have arrived at this page and have not yet reviewed the different membership options, please visit our Join page first.

If you have any queries, please use our Contact page to get in touch and we can advise further before you submit any application.

Your Name *

First

Last

Email Address *

Confirm Email

Phone Number *

Date of Birth *

Address 1 *

Address 2

Town *

County

Postcode *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Email *

Confirm Email

Known Medical Conditions *

Please provide details on any known medical conditions that you feel the club coaches may need to be aware of for when you are training with us. Enter NONE if there is nothing to mention.

Allergies *

Please provide details of any allergies you may have that you feel the club should be aware of. Enter NONE if there is nothing to mention.

Membership Required *

Social
Competition
Trial Period (4 Weeks)
PAYG (Under 11 Only)

Please reference the Join page for all pricing information before you make a selection.

If you need to ask a non-membership related question, or are enquiring about our U11 age group, please use our Contact page instead

Media Consent *

You provide consent to your (or your child, if submitting on their behalf) image being used on all forms of social media, website, where the club has a presence and wishes to publicise club activity. This consent can be withdrawn at any time by resubmitting this form to change your details

Additional Message

Enter any personal message to the club in here if you have any additional comments/queries

Declaration *

By submitting this form, and any personal details contained within, you are agreeing that Darlington Harriers can use this in order to respond to you with the information you are requesting. Without valid contact information, we will be unable to respond, so please double check all sections before submitting.